Organization Active NPI

Infinity Care of East la

  • Skilled Nursing Facility
  • Los Angeles, CA
National Provider Identifier
1659552289
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
970000035 Issued in CA
Legal business name
INFINITY CARE OF EAST LA
Practice address
101 S Fickett St
Los Angeles, CA 90033-4017
Phone
(323) 262-8108
Fax
(323) 261-3548
NPI assigned
Nov 26, 2007
Last updated
Jan 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Rani Magboo
Title
Office Manager
Phone
(323) 261-8108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 970000035 CA Primary

Addresses

Primary practice location

101 S Fickett St
Los Angeles, CA 90033-4017

Mailing address

101 S Fickett St
Los Angeles, CA 90033-4017
Phone (323) 262-8108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080201000322 CA Part A Provider - Skilled Nursing Facility 1658453451 Practice locations: Los Angeles, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659552289. Details of each certification follow.

Skilled nursing facility certification: CCN 056063

Legal name
INFINITY CARE OF EAST LA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 18, 1969
Last certification
Jun 7, 2024
Beds
99
Ownership / control type
Limited Liability Corporation
Organization structure
CorporationProprietary
Incorporated
Jul 11, 2007 in CA
Enrollment address
101 S Fickett St
Los Angeles, CA 90033-4017
Nursing home name
INFINITY CARE OF EAST LOS ANGELES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Infinity Care of East Los AngelesCCN 056063 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 18, 1969
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9989.2 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $65,817

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

101 S Fickett St
Los Angeles, CA 90033
Phone (323) 261-8108

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Infinity Care of East la Organization, Los Angeles, CA Created for acquisition, For-profit 5% Or Greater Direct Ownership Interest Aug 4, 2007 100%
Saif Amin Individual 5% Or Greater Direct Ownership Interest Jul 9, 2008 62.5%
Corporate OfficerCfo Jul 9, 2008 62.5%
Corporate Director Jul 9, 2008 62.5%
Muhammad Kamdar Individual 5% Or Greater Direct Ownership Interest Aug 4, 2007 17.5%
Corporate OfficerVice President Aug 4, 2007 17.5%
Corporate Director Aug 4, 2007 17.5%
Operational/Managerial Control Aug 4, 2007
Bina a Kamdar Individual 5% Or Greater Direct Ownership Interest Aug 4, 2007 20%
Corporate OfficerPresident Aug 4, 2007 20%
Corporate Director Aug 4, 2007 20%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1659552289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S FICKETT ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900334017",
            "telephone_number": "323-262-8108",
            "fax_number": "323-261-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S FICKETT ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900334017",
            "telephone_number": "323-262-8108",
            "fax_number": "323-261-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY CARE OF EAST LA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "MAGBOO",
        "authorized_official_first_name": "RANI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "323-261-8108",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "970000035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.